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Suggest Treatment For High Lymphocyte And Low Neutrophil Count

Posted on Wed, 6 May 2015

Question: Dear Doctor, pls find the attached cbc test for my husband and please explain to me the reason for high lymphocyte and low neutrophil and it does mean blood cancer?? And what next tests to do?? Regards XXXX

Answered by Dr. Indu Kumar (51 minutes later)

Brief Answer:
It may be due to viral illness,typhoid infection etc.

Detailed Answer:
Hello

I have gone through husband's findings in detail.
High lymphocyte may be due to many reasons like viral infection,typhoid fever etc.
His findings suggest neutropenia(decreased neutrophil count) with relative lymphocytosis(increased lymphocyte count).
In typhoid fever it is common to have increased lymphocytes and low neutrophils with a normal to low total leucocyte count (relative lymphocytosis).

Findings are not in favour of blood cancer as his total WBC count,etc are within normal limit.

Other findings are within normal limit.

I don't think he is having serious findings.
It is important to know his symptoms and reason for investigations.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indu Kumar (2 days later)

Dear Doctor, thanks a lot for your answer. The symptoms he has is ribs pain and I really scared from multiple melomya since I have information about that cancer. Is he cbc test suggestive to that . Pls advise best regards XXXX

Answered by Dr. Indu Kumar (10 minutes later)

Brief Answer:
Multiple myeloma is associated with bone pain and markedly increased ESR.

Detailed Answer:
Hello

Don't worry about multiple myeloma.It is associated with bone pain and markedly increased ESR.

X-ray skull(Lateral view)can be taken for confirmation.X-ray may show lytic lesions in multiple myeloma.But I don't think your husband will need these investigations.Most likely he is fine.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indu Kumar (10 hours later)

Dear Doctor, thanks a lot my last question . Last 3 month his lymphocyte was 40 and now is 50 and the other element was 40 and now as you can see is 35 meaning that there is development so shall I expect next month or months later other increase or shall it turn to normal . My husband did have infection but have candida in gentalia is that resin for elevation ?? Does he have cll or what ?? Please give me more information I am really worried thk doctor and best regards XXXX

Answered by Dr. Indu Kumar (33 minutes later)

Brief Answer:
Don't worry about leukemia.

Detailed Answer:
Hello

Don't worry about leukemia.Leukemia causes increase in WBC count and there are immature cells in blood.Other parameters of blood also get deranged.
Your husband lymphocyte count is towards upper limit and it is expected to come down with treatment of underlying cause.It may be related to candida infection.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indu Kumar (22 hours later)

Dear Doctor, pls find attached test for my husband as of today for guidance . Thanks and best regards . XXXX

Answered by Dr. Indu Kumar (3 minutes later)

Brief Answer:
As we discussed earlier,findings are not serious.

Detailed Answer:
Hello

As we discussed earlier,findings are not serious.Please don't worry about carcinoma.He is fine.
He is expected to recover soon.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar